Nursing home
Palma Real
1220 Loop 459, Mathis, TX 78368 · Map
For profit - Corporation · Part of Cantex Continuing Care (38 facilities) · 90 certified beds
Palma Real is a Medicare-certified nursing home in Mathis, Texas. CMS rates it 4 out of 5 stars overall (1/5 for staffing, 4/5 for health inspections). Nurse staffing is 2.95 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Apr 17, 2025 cited 8 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Palma Real compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.95 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.27 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.53 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 34.0% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 8.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Palma Real
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 21, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Aug 20, 2025 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 20, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Apr 17, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 23, 2024 · Full report (PDF) - Potential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Feb 23, 2024 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Feb 23, 2024 · Full report (PDF) - Minimal
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Feb 23, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1220 Loop 459
Mathis, TX 78368 - CMS certification #
- 675312
- Ownership
- For profit - Corporation
- Certified beds
- 90
- Avg residents/day
- 60.9
- Provider type
- Medicare and Medicaid
- First certified
- 1994-05-11
- Chain
- Cantex Continuing Care (38 facilities)
- Setting
- Urban
Part of Cantex Continuing Care
Cantex Continuing Care operates 38 nursing facilities across the United States. View all Cantex Continuing Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Palma Real using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2021, 1 violation cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- May 25, 2021: programmed (planned) inspection, partial (safety). Case closed Apr 8, 2025. 1 violation cited (1 other). Penalties: $5,461 proposed, $3,276 now. OSHA record. OSHA recorded the employer as Coastal Palma Real , Cantex.
Details
- Other than serious: Construction: safety training (1926.21(b)(2)). Penalty $5,461 proposed, $3,276 now. To be fixed by Oct 22, 2021. Contested by the employer.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Christus Spohn Hospital Beeville, Beeville. 22.3 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Avir at River Ridge, Corpus Christi. 18.7 miles away, straight line.
- Nearest home health agency office
- Carestat Provider Services, Corpus Christi. 20.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 19.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78368 as small town (small town core).
- Hospice
- 35 Medicare hospices tell CMS they serve ZIP code 78368.
Exclusive Home Health And Hospice Inc, office in Beeville, 21.7 miles away, straight line
Tribute Hospice And Palliative Care, office in Corpus Christi, 22.2 miles away, straight line
Devoted Healthcare & Hospice Services, LLC, office in Robstown, 22.4 miles away, straight line - Nearest geriatric medicine practice
- Amistad Community Health Center Incorporated, Corpus Christi. 33.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively high, inland flooding relatively moderate, wildfire relatively low, tornado relatively high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Palma Real a good nursing home?
CMS gives Palma Real an overall rating of 4 out of 5 stars, including 1/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Palma Real staffed?
Palma Real reports 2.95 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Palma Real had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does Palma Real have?
Palma Real is certified for 90 beds.